2025/2026 Pathfinders Registration (Grades 4th

This address will receive a confirmation email

Child Registration

Child #1 Name

Child #1 Grade entering Fall 2025

4th Grade 5th Grade 6th Grade

Does this child have any allergies, medical conditions or special needs? We welcome info about a child's IEP if you feel it will help us minister to your child more effectively. Please also explain any other pertinent information about the participant (i.e.physical, behavioral, or emotional) that would be helpful to know.

Allergy info is always shared with teachers so they can keep the children safe. If other info is provided (beyond allergies), can this info be shared with your child's teacher if staff feels that it will help our volunteers be more effective in ministering to your child?

Yes I prefer it be kept confidential just among staff NA

Child #2 Name

Child #2 Grade entering Fall 2025 4th Grade 5th Grade 6th Grade

Child #3 Name

Child #3 Grade entering Fall 2025 4th Grade 5th Grade 6th Grade

Child lives with:

Both parents (same house) Split time between Mom and Dad Mom Dad Grandparent/s Prefer not to respond

Address

Parent/Guardian Information

The email and address used at the beginning of this form will be associated with "Guardian #1" and used for all email/newsletter communication (unless indicated otherwise).

Guardian #1 Name

Guardian #1 Relationship

Guardian #1 Phone

Guardian #2 Name

Guardian #2 Relationship

Guardian #2 Phone

Guardian #2 Email

Should Guardian #2 receive Children's Ministry email updates? Yes No

Should Guardian #2 receive the Beacon (weekly church newsletter)? Yes No

At Light of Christ (LOC), we strive to be welcoming to all. Asking about membership allows us to know how we can best walk with your family on their faith journey. Membership is not required to attend any ministries at LOC, however members have voting rights (at congregational meetings) and are often more active/committed.

Members of Light of Christ Members at another church Not currently a member at any congregation Please send membership info

Providing info about your family is helpful for our staff to effectively minister to your child. Please note that this info will be kept confidential unless you indicate that it can be shared with your child's teacher.

Married (live in same household) Married (live in separate households) Separated Divorced Widowed Not married Prefer not to respond

Can this family info be shared with your child's teacher if staff feels that it will help our volunteers be more effective in ministering to your child?

Yes I prefer it be kept confidential just among staff NA

Parental Consent/Release

I/we hereby release Light of Christ Lutheran Church, its employees, agents and volunteers, from any and all liability, claims, demands, causes of action and possible causes of action whatsoever arising out of or related to any loss, damage or injury (including death) that may be sustained by my child/ren (listed in this form) while participating in or traveling to and from an event at Light of Christ. I/we understand that personal injury can and may occur to my child/ren, and I hereby authorize a representative of Light of Christ Lutheran Church to seek and consent to emergency medical treatment, dental care, surgery or hospitalization for my child/ren as needed during the period of my/our absence; and I further agree to be liable for and to pay all costs incurred in connection with such medical/dental attention.

Media Release

Do you grant Light of Christ Lutheran Church the right to take photographs in connection with Explorers, Voyagers, Pathfinders, Confirmation, High School, or any other church sponsored event? Do you authorize Light of Christ Lutheran Church to use such photographs for any lawful purpose, including, for example, appearing in print or online promoting Light of Christ’s activities, promotional brochures, worship presentations, or Light of Christ’s Facebook page? I further understand that if I give my permission, my child’s name will not be used to identify my child. My permission will be kept on file in the church office (yearly), and if I would like to withdraw my permission, I may do so by contacting the church office.

Yes, I grant permission No, please do not use my child's photograph for any reason

Partnership in Ministry

God has called parents to be the greatest influence in the faith development of their children. Your involvement in LOC’s children and/or youth ministries contributes to its success and fulfills the promises you made at your child’s baptism! Please check off any ways you can help!

One or more ways I will volunteer this year...

Explorers (3 yr old - K) - Sundays Voyagers (1st - 3rd) Pathfinders (4th - 6th) Christmas Program Service Projects Become a Member of the Children & Family Ministry Team

Payment

We have a minimal fee of $100 per child for Pathfinders to help cover the cost of curriculum, supplies, snacks, etc. Families can pay this online (link below) or drop off cash or check in the office. Make sure to designate your money to Pathfinders (with your child's name) so that we know how to allocate it correctly.

https://www.lightofchristlutheran.com/give

Pathfinders Grades 4th - 6th: $100 per child

Payment Options

Pay $80 in Full by August 15th ($20 discount) Pay $100 in Full by August 29th Pay $12.50 monthly (1st of month) Pay quarterly ($34 on Sept 1st, $33 on Dec 1st, & $33 on March 1st) I'd like to request a scholarship due to financial hardship I'd like to sponsor a child going through financial hardship

Any additional questions or comments:

2025/2026 Pathfinders Registration (Grades 4th - 6th)

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2025/2026 Pathfinders Registration (Grades 4th - 6th)

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